How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | None | $0.15 | $0.15 | $0.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.34 Median $0.49 Typical High $0.65 | Professional | None | $0.34 | $0.49 | $0.65 |
CareFirst Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | None | $0.43 | $0.43 | $0.43 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
Medcost Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.23 | Facility | None | $0.15 | $0.15 | $0.23 |
Medcost Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Sentara Setting Facility Modifier None Typical Low $0.28 Median $933.25 Typical High $10,232.93 | Facility | None | $0.28 | $933.25 | $10,232.93 |
Sentara Setting Professional Modifier None Typical Low $0.36 Median $0.39 Typical High $10,232.93 | Professional | None | $0.36 | $0.39 | $10,232.93 |
United Setting Professional Modifier None Typical Low $0.20 Median $0.26 Typical High $0.47 | Professional | None | $0.20 | $0.26 | $0.47 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.17 Median $0.28 Typical High $0.39 | Professional | UE · Used equipment | $0.17 | $0.28 | $0.39 |
Where Virginia sits
The same service costs 501.2 times more in Wyoming than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 29th of 51
$0.19
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.